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SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Sign ure <br /> ■ Print your name and address on the reverse r ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B Rby fPrinteam a C. Date of Delivery <br /> or on the front if space permits. 4 <br /> 1 ress different from item 1? ❑Yes <br /> Georte Glasier lelivery address below: p No <br /> Pin®n Ridge Mining, LLC MDEIVED <br /> 31161 Highway 90 - P O Box 825 <br /> Nucla, CO 80142 "IAA( �o <br /> III I'III III I'l ll� I II I I II III I II II�II I III ioe Tye <br /> ❑AdultVSgn tupe DIVISION OF Rr"gR1EaTesse <br /> ❑Adult Signature RestnrMN["`.(;� red Mail Restricted <br /> ❑Certified Mail@ eD livery <br /> 9590 9402 5506 9249 0476 56 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number((ransfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> --red Mail ❑Signature Confirmation <br /> -1 5 red Mail Restricted Delivery Restricted Delivery <br /> r$500) <br /> PS Form 3811,July 2015 PSN 7530-n -Z',..` or/f7 Domestic Return Receipt <br />